Todd A Hartman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NV 632 Issued in NV

Practice address

5705 Centennial Center Blvd
Suite 150
Las Vegas, NV 89149-7128

Phone

(702) 868-2020

Fax

(702) 655-2050

NPI assigned

Nov 1, 2006

Last updated

Apr 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optic Gallery Centennial Hills IncGroup PAC ID 8426273624, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optic Gallery Centennial Hills Inc.

  • Optometrist
  • Las Vegas, NV
  • NPI 1457761355
  Medicare reassignment Care Compare group
• Optic Gallery Centennial Inc

  dba optic gallery

  • Optometrist
  • Las Vegas, NV
  • NPI 1992123244
  Medicare reassignment NPD
• Eye Care Associates of Nevada Las Vegas, Inc

  dba Eye Care Associates of Nevada

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1114986973
  NPD (past)
• Timothy J Bauer Dr of Optometry Professional Corporation Carbondale

  • Optometrist
  • Carbondale, CO
  • NPI 1669680229
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1336226356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 CENTENNIAL CENTER BLVD",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497128",
            "telephone_number": "702-868-2020",
            "fax_number": "702-655-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 CENTENNIAL CENTER BLVD",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497128",
            "telephone_number": "702-868-2020",
            "fax_number": "702-655-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV 632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE TAX ID",
            "identifier": "454366941",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE NPI",
            "identifier": "1992123244",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dillon Hartley
• Shayden Hartley
• Craig Anthony Hartman, D.O.
• Kimberly Hartman
• Lyudmila Hartman
• Veronica Natasha Hartman
• Vincent Edward Hartman, MFT-I
• William David Hartman
• Michael Hartnett
• Allan Hartog

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.